If a wisdom tooth doesn’t have enough space to grow into, it can end up impacting against the other teeth or get trapped resulting in pain, infection or other dental problems. If this happens with any one of your wisdom teeth, you will likely need to have it pulled. Here at Rolling Oaks Dental, wisdom tooth extraction is done by our in-house Oral Surgeon.
Wisdom teeth, usually start coming in between the ages of 17 and 25. Some people never develop wisdom teeth and, for some people, wisdom teeth come in normally and are never a problem. However, more often than not wisdom teeth coming in can cause problems, damaging other teeth or pushing teeth out of alignment.
Call us now on (210) 880-4120 or use the form below to send us a message
Meet our Oral Surgeon
Dr. Nitin Raju, DDS, MD was born in India but grew up in Oklahoma and Saudi Arabia. He completed his degree in Electrical Engineering at the University of Wisconsin – Madison and obtained his Doctorate in Dental Surgery at the University of Michigan.
Following dental school, he completed a six year residency in oral and maxillofacial surgery at the University of Texas Health Science Center in San Antonio.
During his residency, he received a medical degree.
In his time away from work he enjoys backpacking, bicycling and photography.
Dr. Raju is gentle, caring and calming and prides himself on making his patients as comfortable without experiencing any pain or anxiety and performing the highest quality oral surgery services.
Here at Rolling Oaks Dental we will perform the procedure in the office. In addition to making the area numb with local anesthetic, your surgeon may suggest sedation to allow you to be more comfortable during the procedure.
You’ll receive detailed instructions from us on what to do before the surgery and the day of your scheduled surgery. You will need to make arrangements for someone to drive you home after the procedure. You will also need to avoid eating food or drinking fluids several hours before the surgery. We will also discuss other medications you are taking.
During the procedure
- Local anesthesia. Our oral surgeon administers local anesthesia with one or more injections near the site of each extraction. You’re awake during the tooth extraction. Although you’ll feel some pressure and movement, you shouldn’t experience pain.
- Sedation anesthesia. Our oral surgeon gives you sedation anesthesia through an intravenous (IV) line in your arm. Sedation anesthesia suppresses your consciousness during the procedure. You don’t feel any pain and will have limited memory of the procedure. You’ll also receive local anesthesia to numb your gums.
- General anesthesia. In special situations, you may be offered general anesthesia. You may inhale medication through your nose or have an IV line in your arm, or both. Then you lose consciousness. Your surgical team closely monitors your medication, breathing, temperature, fluids and blood pressure. You’ll experience no pain and have no memory of the procedure.
After the procedure
If you receive sedation anesthesia or general anesthesia, you’re taken to a recovery room after the procedure. If you have local anesthesia, your brief recovery time is likely in the dental chair.
As you heal from your surgery, follow your dentist’s instructions on:
- Bleeding. Some oozing of blood may occur the first day after wisdom tooth removal. Try to avoid excessive spitting so that you don’t dislodge the blood clot from the socket. Replace gauze over the extraction site as directed by your dentist or oral surgeon.
- Pain management. You may be able to manage pain with an over-the-counter pain reliever, such as acetaminophen (Tylenol, others), or a prescription pain medication from your our oral surgeon. Prescription pain medication may be especially helpful if bone has been removed during the procedure. Holding a cold pack against your jaw also may relieve pain from swelling.
- Swelling and bruising. Use an ice pack as directed by your dentist or surgeon. Any swelling of your cheeks usually improves in two or three days. Bruising may take several more days to resolve.
- Activity. After your surgery, plan to rest for the remainder of the day. Resume normal activities the next day, but for at least a week, avoid strenuous activity that might result in losing the blood clot from the socket.
- Beverages. Drink lots of water after the surgery. Don’t drink alcoholic, caffeinated, carbonated or hot beverages in the first 24 hours. Don’t drink with a straw for at least a week because the sucking action can dislodge the blood clot from the socket.
- Food. Eat only soft foods, such as yogurt or applesauce, for the first 24 hours. Start eating semisoft foods when you can tolerate them. Avoid hard, chewy, hot or spicy foods that might get stuck in the socket or irritate the wound.
- Cleaning your mouth. Don’t brush your teeth, rinse your mouth, spit or use mouthwash during the first 24 hours after surgery. Typically you’ll be told to resume brushing your teeth after the first 24 hours. Be particularly gentle near the surgical wound when brushing and
- Gently rinse your mouth. Use warm salt water every two hours and after meals for a week.
- Tobacco use. If you smoke, don’t do so for at least 72 hours after surgery — and wait longer than that if possible. If you chew tobacco, don’t use it for at least a week. Using tobacco products after oral surgery can delay healing and increase the risk of complications.
- Stitches. You may have stitches that dissolve within a few weeks or no stitches at all.
Other Important Steps To Rapid Healing
1. Apply Cold Packs to the Area of the Cheek Closest to the Extraction Site for the First Day
Never apply heat to this area.
For the first several days
2. Don’t Let Your Mouth Dry Out
If you breath through your mouth, use an oral cavity moisturizer.
3. Massage Your Jaw Joint Muscles on Both Sides
To know where to massage your jaw joint, place your fingers just before the opening of each ear.
Massaging this area will help you recover faster from wisdom teeth surgery because the oral surgeon had your mouth wide open during the surgery, which can cause some pain and cramped or sore muscles in the jaw area.
4. Drink Cold Coconut Water Until You’re Able to Eat Soft Foods
Coconut water helps stabilize blood chemistry and electrolytes and helps to keep blood sugar stable while you’re not able to eat solid foods — all important to speeding up your recovery from wisdom teeth surgery.
Call Us at Rolling Oaks Dental If Any Problems Arise
Call us immediately if you experience any of the following signs or symptoms, which could indicate an infection or other complication:
- Difficulty swallowing or breathing
- Excessive bleeding
- Severe pain not relieved by prescribed pain medications
- Swelling that worsens after two or three days
- A bad taste in your mouth not removed with saltwater rinsing
- Pus in or oozing from the socket
- Persistent numbness or loss of feeling
- Blood or pus in nasal discharge
Of course if you experience symptoms that are more serious or life threatening call 911 immediately.
Call us now on (210) 880-4120
or use the form below to send us a message